KIDSPIRATION PEDIATRIC THERAPY SERVICES, INC. (NPI# 1497048185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497048185 |
| Entity Type | Organization |
| Organization Name | KIDSPIRATION PEDIATRIC THERAPY SERVICES, INC. |
| Practice Address |
1310 Bradley Dr Mountain Home AR 72653-2730 |
| Mailing Address |
Po Box 2533 Mountain Home AR 72654-2533 |
| Practice Telephone | 8704244021 |
| Practice Fax Number | 8704244112 |
| Mailing Telephone | 8704244021 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | DEBBIE COLEMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8704244021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1310 BRADLEY DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548477425 | Amber Raley | Case Manager/Care Coordinator | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2007-05-17 |
| 1558908780 | Kidspiration Behavioral Health | Pediatrics | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2019-12-06 |
| 1558903872 | Makenna Seats | Occupational Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2019-10-09 |
| 1477046803 | Alyssa Edwards | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-06-11 |
| 1740778950 | Jennifer Cook | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-24 |
| 1992202527 | Angela Stowe | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-10 |
| 1851802938 | Hope Boyd | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-10-17 |
| 1912416116 | Patricia Dickinson | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-09-20 |
| 1487197059 | Pamela Morton | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-29 |
| 1790237998 | Ginger Wiggins | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134603 | Sheridan Family Clinic, Pllc | Clinic/Center | 109 W Pine St Ste A, Sheridan, AR 72150-2443 | 2020-11-03 |
| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.